Question

A 19-year-old Aboriginal man from a remote community presents with fever, sore throat and migratory joint pains. On examination he has a new pan-systolic murmur at the apex. You suspect acute rheumatic fever. Beyond acute treatment, which public health measure is MOST important to organise to reduce recurrence and community burden?

Accepted Answer

Notify the case to public health and enrol him in a rheumatic heart disease register

Answer

Treat him once and rely on self-presentation if symptoms recur

Answer

Advise only household isolation

Answer

Avoid notifying anyone to protect confidentiality

Answer

Give a single dose of oral penicillin without follow-up

Practice question